| NPI | 1407283989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WAYNE ROLLINS CFO 228-334-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 12664/1.1) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |